Entrepreneurial government—from under to oversupply

Author(s):  
Mark Britnell

The paradox of the global healthcare workforce is that while it has never been more abundant, it has never been scarcer relative to future patient needs. This workforce has largely been resistant to economic cycles of boom and bust, and has even flourished, relatively speaking, during recessions. But demand for health workers has surpassed our capacity to supply them and it has never been more important for governments to be progressive, agile, and courageous in tackling the looming crisis. In this chapter, Mark Britnell looks at entrepreneurial government, from under to oversupply. He shows how across the OECD, the functioning of the labour market for health workers—for good or ill—is characterized by strong government interventions affecting both supply and demand.

2019 ◽  
Author(s):  
Qin Liu ◽  
Huai-mei BI ◽  
Li-xiong BI ◽  
Shuo-wei ZHANG ◽  
Ying-ping FU ◽  
...  

Abstract Background: Statistics show that as of the end of December 2017, there were 11.749 million health workers and 898.82 million health technicians in China. In recent years, with the rapid development of the economy, the rapid expansion of the health manpower, which requires more scientific and rational health manpower forecasting, health manpower planning.It is important to strengthen and study the forecast of the future demand of the health workforce. Methods: On the basis of analyzing the current situation, changing trend and problems of China's human resources allocation and higher medical education, this study uses ARIMA model to forecast the demand of health workers in China from 2018 to 2024, and compares the difference smaller supply and demand of China's total health manpower.To determine the future development trend of China's health manpower, and finally explore the scientific and reasonable forecasting method of human resources for health. Results: China's total health manpower is relatively adequate, the proportion of medical care is unreasonable, medical staff is inadequate. The ARIMA model predicts an improvement in the inversion of health care in China and a continued increase in the demand for health care.By 2024, China's demand for health personnel will reach 17.4563 million, but the health manpower supply is still not keeping pace with the growth rate of demand, and the quantitative gap is still gradually widening in the short term, the gap between supply and demand in 2024 reached 1.4859 million people, medical and health institutions and medical education institutions are under greater pressure. Conclusion: In view of the forecast results of China's health human resources in this study, policy makers and health managers should pay more attention to and support the forecastplanning of health human resources, strengthen the government's macro-control, and actively solve the shortage of health manpower. Actively explore scientific models or methods for forecasting the demand of health workers, guide the planning practice of health manpower, guide the training of health personnel in colleges and universities, moderately expand the scale of medical education and training, and vigorously improve the quality of medical education.


2013 ◽  
Vol 13 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Malaquias Batista Filho ◽  
Anete Rissin

In the year 2012, for the first time in the history of humanity, the urban population has exceeded the rural population. This change has been conditioned, in large part, by migratory flows in the direction of the field to the cities, singularizing the importance of the situation according to epidemiological, ecological, political, and social aspects. These issues are highlighted by the United Nations (UNICEF and WHO) especially considering the remarkable and growing relevance that the poverty condition of rural families exercises in this displacement, creating a remarkable adverse and conflictive environment, mainly in the health sector. This fact occurs because the infrastructure of urban services is not keeping up with the sprawls in the outskirts of the cities of medium and large sizes. These arguments, of universal character, assume a crucial importance in developing countries, as in the case of Brazil, Latin America, an Asian subcontinent and the greater part of Africa. It is a context that justifies the I Brazilian Workshop on the Health of Subnormal Urban Clusters (old slums) to be held in Recife, as a strategy to consolidate a basic information framework about the epidemiological scenario, the supply and demand for health care services in urban areas of poverty. With an propositional objective: establish an agenda for research and intervention models having as focus the priorities of health of these urban spaces submitted to socio-economic conditions of recognized vulnerability.


Author(s):  
Олена В. Птащенко ◽  
Юлія М. Тер-Карапетянц

To ensure success in promoting entrepreneurship among the unemployed it is critical to provide effective government support for those citizens who wish to start their own business, create favourable environment, including relevant financial, lending, tax policies, etc. Apparently, due to inconsistent SME legislation, high tax burden, uncertainty in business development, the effectiveness of vocational entrepreneurial training for the unemployed remains low. The paper provides an overview of unemployment rate by age along with the analysis of contemporary labour market trends in the context of implementating specific technology of vocational training for the unemployed. The research findings evidence that rapid technological changes challenge dramatic effects globally, thus triggering the need for totally new skills and professions. This situation in the labour market drives a particular focus to the latest learning technology advances, education marketing development, designing study programs for employable population of Ukraine to ensure new skills and competences building. Recent dramatic changes in Ukraine’s education system, further evolution of education services market and progressive marketing learning technologies implementation contribute to transforming education into a growing and promising sector of the economy which year by year increase the size of supply and demand for education services. Currently, the education services market as a public sphere drives media to establish and maintain strong and close relationships between its participants. In conclusion it is emphasized that modern institutions of higher education cannot be imagined without mediated patterns and diverse forms of communication as well as special tools to enhance communication between its various actors.


2021 ◽  
Vol 572-573 (11-12) ◽  
pp. 24-31
Author(s):  
Łukasz Arendt ◽  
Wojciech Grabowski

The paper studies upgrading patterns between secondary and primary segments in Polish labour market, with reference to the Segmented Labour Market theory. The type of contact (permanent vs. fixed-term) and wage distribution were used within one framework to define these labour segments. The parameters of binary choice model, based on Labour Force Survey microdata, were estimated to calculate the probabilities of shift from secondary to primary segment, and to identify supply and demand-side determinants of this upgrading. The results are, in general, in line with the trap hypothesis, pointing out to limited chances of upward shift from secondary to primary labour segment. However, this upward mobility has increased in recent years, being a result of changes in real (measured by lowering unemployment rate) and institutional sphere of the Polish labour market. Individual’s age, education attainment, propensity to invest in human capital, as well as the size of an enterprise appeared to be the most important divers of inter-segments upgrading. Moreover, regional as well as sectoral differences in probability of upgrading were identified – this probability was higher in the case of workers living in regions with large agglomerations and close proximity to the German labour market.


2020 ◽  
Vol 31 (2) ◽  
pp. 133-157 ◽  
Author(s):  
Kristin van Barneveld ◽  
Michael Quinlan ◽  
Peter Kriesler ◽  
Anne Junor ◽  
Fran Baum ◽  
...  

This discussion paper by a group of scholars across the fields of health, economics and labour relations argues that COVID-19 is an unprecedented humanitarian crisis from which there can be no return to the ‘old normal’. The pandemic’s disastrous worldwide health impacts have been exacerbated by, and have compounded, the unsustainability of economic globalisation based on the neoliberal dismantling of state capabilities in favour of markets. Flow-on economic impacts have simultaneously created major supply and demand disruptions, and highlighted the growing within-country inequalities and precarity generated by neoliberal regimes of labour market regulation. Taking an Australian and international perspective, we examine these economic and labour market impacts, paying particular attention to differential impacts on First Nations people, developing countries, women, immigrants and young people. Evaluating policy responses in a political climate of national and international leadership very different from those in which major twentieth century crises were addressed, we argue the need for a national and international conversation to develop a new pathway out of crisis. JEL Codes: E18, HO, I1, J64, J88


2016 ◽  
Vol 15 (3) ◽  
pp. 162-182 ◽  
Author(s):  
Susan Seeber

From a societal perspective, vocational education and training must enable young adults to meet the challenges of the labour market in a globalized world, reduce the mismatch of supply and demand of qualifications (e.g. youth unemployment leading to disadvantages for individuals, society and national economies) and improve social cohesion. From an individual perspective, vocational education and training should develop young adults’ vocational competencies, support their individual personality development and their integration into the labour market and society, help secure their livelihood and enable them to lead self-determined lives as citizens. Therefore, the assessment of competencies obtained in vocational education and training programmes has emerged as a critical issue to develop workforces and the capacity for life-long learning and to foster civic participation as a responsible citizen. This article provides some insights into the modelling and measurement of competencies in vocational education and training, where occupational and cross-occupational competencies are necessary to cope with the requirements of workplaces, as a responsible citizen and in private life. In this article, cross-occupational economic competencies and occupation-specific commercial competencies in the area of business and administration are discussed. Both constructs are based on economic theories, concepts and central terms; nevertheless, the situation-specific context and requirements may vary substantially. Thus, different approaches to define and measure both constructs seem to be necessary.


2013 ◽  
Vol 24 (4) ◽  
Author(s):  
Asta Mikalauskiene ◽  
Remigijus Ciegis ◽  
Egle Nakciunaitė

2016 ◽  
Vol 33 (S1) ◽  
pp. S565-S565
Author(s):  
A. Zangrando ◽  
F. Babici ◽  
E. Pascolo-Fabrici ◽  
A. Riolo

IntroductionThe reduction of the budget allocated to community psychiatry is part of financial needs in times of economic crisis. However, the community psychiatry is based on human resources rather than on technological devices and the economic downturn affects the quality of care in a field where the social and relational capital developed by mental health workers is fundamental. Some authors such as Serge Latouche propose to stem the economic decline with the concept of “degrowth”, a constructive idea but difficult to apply.ObjectiveWe would like to analyze whether the economic downturn has consequences only for the organization of psychiatric services or even for people with severe mental disorders. Another issue concerns the possibility that economic downturn increases the social exclusion of vulnerable people.ResultsPeople who live on social welfare or disability pension remain on the margins of society but also those supported by families feel increasingly marginalized with respect to the future.ConclusionsThe provision of mental health services may not meet the implicit and explicit wishes in the demand for health by citizens and society. It's therefore necessary to review the quality management within community psychiatry.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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